NPI | 1699946004 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY JAMES SMITH Owner Optometrist 330-345-1551 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 4806) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2020-04-01 |